Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

WALGREEN CO. 

Business (DBA) Name  

WALGREENS NO. 02361 

License Number 

2-4841 

Type of Pharmacy

Retail 

Address

12802 E 96TH ST N

City, State, Zip 

OWASSO, OK  74055-5371

Country 

 

Issue Date 

04/09/2004 

Renewed Date

03/17/2014

Expiration Date 

03/31/2015 

End Date 

01/27/2015 

Replacing

Replaced By

2-7038

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

BEN DOUGLAS BLACKBURN - 12179

Status

CLOSED 

In Process?

 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.  

Case Date  

Case Number  

04/11/2013 

1163 

Contact Board for more information.

 

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